Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1987
Offers telehealth
NPI: 1851322366
Practice Locations (3)
840 ROYAL AVE, SUITE 130
MEDFORD, OR 975046461
PO BOX
PORTLAND, OR 97208
PO BOX, SUITE 3158
PORTLAND, OR 972083158
Source: CMS National Downloadable File, September 2026.